WELLSTAR HEALTH SYSTEM, INC. (NPI# 1407921653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407921653 |
| Entity Type | Organization |
| Organization Name | WELLSTAR HEALTH SYSTEM, INC. |
| Other Organization Name | WINDY HILL APOTHECARY |
| Practice Address |
2520 Windy Hill Road Suite 203a Marietta GA 30067-8664 |
| Practice Telephone | 7706441005 |
| Practice Fax Number | 7706441008 |
| Mailing Telephone | 7706441005 |
| Mailing Fax Number | 7706441008 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. LOUIS WOOTEN LITTLE (VICE PRESIDENT AND ADMINISTRATION) |
| Authorized Official Telephone | 7706441090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PHRE005383 | GA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH014647 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NABP | 1136628 | 01 |
| Other Name | Type Code |
|---|---|
| Windy Hill Apothecary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437219656 | Wellstar Health System, Inc. | Point of Service | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELLSTAR HEALTH SYSTEM, INC. | 793 Sawyer Rd, Marietta, GA 30062-2222 |
| Street Address |
2520 WINDY HILL ROAD SUITE 203A |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912948944 | Howard Jones Williams IIi | Anesthesiology | 2520 Windy Hill Road, Suite 204, Marietta, GA 30067-8650 | 2006-06-09 |
| 1629140280 | Sandra P Hutton | Psychologist | 2520 Windy Hill Road, Suite 106, Marietta, GA 30067-8663 | 2006-11-15 |
| 1982776308 | Joan Irene Miller | Psychologist | 2520 Windy Hill Road, Suite 106, Marietta, GA 30067-8663 | 2006-11-14 |
| 1811006471 | Waunelle Jackson Ian | Dentist | 2520 Windy Hill Road, Suite 103, Marietta, GA 30067 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1275143380 | Stephanie Diane-hunsley Long | Pharmacist | 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 | 2020-08-04 |
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1053947226 | Chettana Sanasith | Pharmacist | 1979 Carithers Way, Marietta, GA 30064-6012 | 2020-03-19 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1659837086 | Charnisha Thomas | Pharmacist | 3024 Hidden Forest Ct Unit 5203, Marietta, GA 30066-3155 | 2019-02-11 |
| 1356819502 | Kineta Naidu | Pharmacist | 1040 Brockton Close, Marietta, GA 30068-4924 | 2018-11-06 |
| 1285114843 | Jorg Richard Largent Jr. | Pharmacist | 1761 Chanson Pl, Marietta, GA 30062-2169 | 2018-08-14 |
| 1124506993 | Allison Delancey | Pharmacist | 401 Matthew St Ste 100, Marietta, OH 45750-1635 | 2018-08-02 |
| 1003320326 | Jerrica Lanise Dodd | Pharmacist | 2499 Red Barn Rd Sw, Marietta, GA 30064-4905 | 2017-11-22 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.